Organization · Type 2 NPI
Tracie L. Vestal DDS PA
Dental Clinic/Center · Elizabethtown, NC
NPI number
1508039405
Active
Practice location
500 W Broad St
Elizabethtown, NC 28337-9411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 7200 (NC) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1508039405
Tracie L. Vestal DDS PA's National Provider Identifier is 1508039405, issued on Apr 11, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Elizabethtown, NC. The record was last updated on Mar 7, 2023.